Individual provider Active NPI

Kathryn Anne Nelson, PA

  • Physician Assistant
  • Olean, NY
National Provider Identifier
1942584180
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015094 Issued in NY
Practice address
535 Main St
Olean, NY 14760-1500
Phone
(716) 376-2432
Fax
(716) 376-2220
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015094 NY Primary

Addresses

Primary practice location

535 Main St
Olean, NY 14760-1500

Mailing address

535 Main St Ste 1
Olean, NY 14760-1593
Phone (716) 376-2432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000510 NY Practitioner - Physician Assistant 8426221771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Physician Assistant Current Accepting new patients
Olean Medical Group CurrentSince Jan 1, 2018 Accepting new patients
Olean General Hospital CurrentSince Nov 1, 2011 Accepting new patients

Locations

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

535 Main St
Olean, NY 14760
Phone (716) 372-0141

623 Main St
Ste 200
Olean, NY 14760
Phone (716) 372-4212

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

515 Main St
Olean, NY 14760
Phone (716) 373-2600

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1942584180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAIN ST STE 1",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601593",
            "telephone_number": "716-376-2432",
            "fax_number": "716-376-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601500",
            "telephone_number": "716-376-2432",
            "fax_number": "716-376-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.